Hakeem Olajuwon COB Rockets Basketball Summer Camp 2018 Registration Form

(* denotes field is mandatory)

Player Details

Gender*:MaleFemale

Date of Birth*: (in some browsers, reqd format is yyyy-mm-dd)

Age*:

Height*:

Address




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Contact Details




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Basketball Details

Playing Standard*:

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Camp options
Camp*:
T-Shirt Size*:SMLXLXXL

Payment Amount*:

Other Details:
(Medical conditions, dietary requirements, allergies etc, if none add N/A)

Please advise if you have any objections to the player being included in promotional photography or videos relating to the camp or the club. Answer*:

TO CONFIRM ATTENDANCE, PLEASE PRESS 'SEND'. (You should receive a confirmation receipt to the parent/guardian email address).

AFTER pressing "SEND" proceed to make the payment using the details below: Amounts are £375 - Residential, £275 - Non-Residential

Pay by Bank Transfer

Account Name: City of Birmingham Basketball
Account Number: 71487442
Sort Code: 40-32-03

or by PayPal (inc fee).


Camp (inc card fee):
Player’s name*: